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  • Title: Regret of laparoscopic sterilization.
    Author: Kjer JJ.
    Journal: Eur J Obstet Gynecol Reprod Biol; 1990; 35(2-3):205-10. PubMed ID: 2139857.
    Abstract:
    A follow-up study with questionnaires was performed 4-8 years after laparoscopic sterilization. The follow-up questionnaires were answered for 90.5%. The study revealed that 7.1% of the women were dissatisfied at some stage with the decision to undergo sterilization. However, only 1.8% requested reversal of the sterilization. 40% of the dissatisfied women were between 25-29 years of age, and every fifth sterilized woman in this age group regretted the sterilization. To learn more about the extent of and factors associated with regret after laparoscopic sterilization, 659 (90%) of the 755 women who underwent this procedure at Denmark's Herlev Hospital in 1980-83 completed a postal questionnaire in 1987. The questionnaire revealed that, 4-8 years after sterilization, 612 women (93%) were satisfied with the procedure and 47 (7%) had regrets. Parity did not differ significantly between the 2 groups of women (2.4 children among satisfied sterilization acceptors compared to 2.0 among unsatisfied women). Age at sterilization, however, emerged as a significant factor. The mean age of satisfied acceptors was 35.4 years compared to 31.7 years among those who regretted their decision; 40% of women in the latter group were 29 years of age or under. Another significant difference between the 2 groups was in the information provided before surgery. Of the women who regretted undergoing sterilization, 28% felt they had received inadequate counseling and 13% claimed they were not fully informed about the questionable reversibility of the procedure; these percentages among women who were satisfied were 7% and 6%, respectively. The cause of regret in 70% of unsatisfied women was the desire for another pregnancy, generally as a result of remarriage. Of the 47 women who regretted the sterilization, only 12 sought reversal and 7 underwent tubal reanastomosis.
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